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ST JUDES MEDICAL CLINIC
NPI 1609884592
General Practice in Cleveland, OH

Active since August 04, 2006
7211 BROADWAY, CLEVELAND, OH 44105(216) 271-1947(216) 271-0106 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Judes Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JUDES MEDICAL CLINIC (NPI 1609884592) is a healthcare organization registered as a general practice in Cleveland, Ohio and active in the NPI registry since August 2006. The organization lists Nelida R Enrique, President Treasurer, as its authorized official.

NPPES Registry Identity

NPI1609884592
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST JUDES MEDICAL CLINIC
Location Address7211 BROADWAYCleveland, OH 44105
Mailing Address7211 BroadwayCleveland, OH 44105 · (216) 271-1947 · Fax (216) 271-0106
Phone(216) 271-1947
Fax(216) 271-0106
Organization SubpartNo
Authorized OfficialNelida R EnriquePresident Treasurer · (216) 271-1947
Enumeration DateAugust 4, 2006
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1609884592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 35033404
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7211 BROADWAY, Cleveland, OH 44105
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Other Identifiers 3

Medicaid0325866OH
Medicare PIN9153031OH
Medicare PINDE0704OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Judes Medical Clinic's NPI number?

The NPI number for St Judes Medical Clinic is 1609884592. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is St Judes Medical Clinic located?

St Judes Medical Clinic is located at 7211 Broadway, Cleveland, OH 44105. The listed phone number is (216) 271-1947.

What is St Judes Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for St Judes Medical Clinic was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.